Individual
GWENETTA YVETTE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1324 OAK PARK AVE, NORFOLK, VA 23503-3018
(757) 589-8836
Mailing address
1324 OAK PARK AVE, NORFOLK, VA 23503-3018
(757) 589-8836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015127
VA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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